Individual provider · Type 1 NPI

Vijaya Lakshmi Pavan Molli, DDS

Periodontics · Coppell, TX

NPI number 1447921200 Active

Practice location

761 S Macarthur Blvd Ste 117
Coppell, TX 75019-4228

Fax (972) 903-8220

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X37900 (TX)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1447921200

Vijaya Lakshmi Pavan Molli, DDS's National Provider Identifier is 1447921200, issued on Sep 22, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Coppell, TX. The record was last updated on Nov 2, 2026.